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NPI 1487016143

NPI 1487016143 : HABEEB HABEEB : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1487016143
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    Entity Type          |    Individual 
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    Provider Name        |    HABEEB HABEEB
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/22/2016
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    Last Update Date     |    12/30/2025
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Provider Practice Location Address
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    Address Line         |    3410 FAR WEST BLVD STE 100 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3187
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    Country              |    US
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    Telephone            |    512-717-9775
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    Fax                  |    855-613-4358
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Provider Business Mailing Address
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    Address Line         |    3410 FAR WEST BLVD STE 100 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78731-3187
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    Country              |    US
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    Telephone            |    512-717-9775
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    Fax                  |    855-613-4358
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    18996
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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